RCM Representative Senior, reputed company-Party Claims-HB&PB

reputed company is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as reputed company as a clinic system with primary care clinics located in Minneapolis and across reputed company. The comprehensive reputed company system includes a 473-bed reputed company medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the reputed company reputed company, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. reputed company has a large psychiatric program, home care, and operates a research institute, philanthropic reputed company, and Hennepin EMS. The system is operated by reputed company reputed company., a subsidiary corporation of reputed company. 

Equal Employment Opportunities: We reputed company equity is essential for reputed company health reputed company and are committed to reputed company reputed company health for reputed company by reputed company eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to reputed company care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more reputed company reputed company organization.

reputed company:
We are currently seeking a RCM Representative Senior to join our reputed company-Party Claims-HB&PB team. This full-time role will primarily work remotely (Days, M- F).  

Purpose of this position: Working under general supervision, provides reputed company cycle services to incoming and existing patients and their families either in person or by telephone. Is responsible for gathering patient information needed to reputed company services such as following up on reputed company claim issues, financial clearance, customer service, or admission. Works will be assigned reputed company a work queue in the electronic health record system

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RESPONSIBILITIES:

• Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, reputed company, reputed company party payors, and/or medical payment programs, etc. both in-person and by telephone to register patients, reputed company or update information, obtain referrals and reputed company-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, reputed company programs, etc.), determine financial responsibility, and/or to identify sources of payment for services
• Requests, inputs, verifies, and modifies patient’s demographic, primary care provider, and payor information
• Utilizes tools, including computer programs, reputed company indicated
• Makes appropriate referrals (i.e. Patient Financial Care Specialists, Collections Specialists) as appropriate
• Provides excellent customer service and reputed company response to questions and issues reputed company to benefits, billing, claims, payments, etc.
• Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc. in accordance with HCMC policies and procedures
• Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, reputed company-authorizations, medical necessity, review/updating of patient accounts, etc.
• Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities reputed company to those plans
• Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software
• Explains charges, answers questions, and communicates a reputed company of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
• Works with Claims and Collections (both internally and with collection agencies) in order to assist patients and their families with billing and payment activities in order to increase cash reputed company
• Other duties as assigned

QUALIFICATIONS:
Minimum Qualifications:

• 2 years clerical experience in health care reputed company cycle operations: billing/claims, patient reputed company, collections, admissions, registration, etc.
• Bilingual strongly preferred, required in some positions

-OR- 

• An approved equivalent combination of education and experience

Preferred Qualifications:

• Demonstrated organizational skills and the ability to prioritize and manage tasks based on established reputed company
• Excellent verbal and written communication and interpersonal skills
• Ability to work independently with minimal supervision, reputed company reputed company setting and be supportive of team members
• Proficient with reputed company Office
• Ability to analyze issues and reputed company judgments about appropriate steps toward solutions
• CRCR (Credentialed reputed company Cycle Representative) preferred

Knowledge/ Skills/ Abilities:

• Knowledge of patient billing claims process
• Ability to communicate with patients and families under sometimes stressful circumstances
• Strong telephone communication skills
• Experience with electronic health record or similar software program
• Knowledge of payor programs
• Knowledge of applicable federal and state regulations

You've made the right choice in considering reputed company for your employment. We offer a reputed company of opportunities for individuals who want to reputed company an reputed company in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both reputed company and prospective employees. We are driven to connect talented individuals with life-changing reputed company, enabling you to reputed company exceptional care without exception. Thank you for considering reputed company as a reputed company employer.  

Please Note:  Offers of employment from reputed company are conditional and contingent upon successful clearance of reputed company background checks and reputed company-employment requirements.

• We offer a reputed company reputed company based on your skills, licensure/certifications, education, experience reputed company to this position, and internal equity.
• We reputed company an extensive benefits program that includes Medical; Dental; reputed company; Life, Short and Long-term Term Disability Insurance; Retirement Funds; reputed company Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.